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    <IdentifierUrn>urn:nbn:de:0183-25rhk2200</IdentifierUrn>
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      <Title language="en">Handscupe &#8211; effects of an ergonomic hand device in patients with rheumatic diseases</Title>
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        <PersonNames>
          <Lastname>Salih</Lastname>
          <LastnameHeading>Salih</LastnameHeading>
          <Firstname>Liza</Firstname>
          <Initials>L</Initials>
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          <Affiliation>Universit&#228;tsmedizin der Johannes Gutenberg-Universit&#228;t Mainz, Mainz</Affiliation>
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          <Lastname>Dreher</Lastname>
          <LastnameHeading>Dreher</LastnameHeading>
          <Firstname>Matthias</Firstname>
          <Initials>M</Initials>
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          <Affiliation>Universit&#228;tsmedizin der Johannes Gutenberg-Universit&#228;t Mainz, Mainz</Affiliation>
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          <Lastname>Marinoska</Lastname>
          <LastnameHeading>Marinoska</LastnameHeading>
          <Firstname>Tatjana</Firstname>
          <Initials>T</Initials>
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        <Address>
          <Affiliation>Rheumazentrum Rheinland-Pfalz, Akutzentrum, Bad Kreuznach</Affiliation>
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          <Lastname>Schwarting</Lastname>
          <LastnameHeading>Schwarting</LastnameHeading>
          <Firstname>Andreas</Firstname>
          <Initials>A</Initials>
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        <Address>
          <Affiliation>Universit&#228;tsmedizin der Johannes Gutenberg-Universit&#228;t Mainz, Mainz</Affiliation>
          <Affiliation>Rheumazentrum Rheinland-Pfalz, Akutzentrum, Bad Kreuznach</Affiliation>
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          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
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        <Address>D&#252;sseldorf</Address>
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      <SubjectheadingDDB>610</SubjectheadingDDB>
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    <DatePublishedList>
      <DatePublished>20250917</DatePublished>
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    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
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      <Meeting>
        <MeetingId>M0627</MeetingId>
        <MeetingSequence>220</MeetingSequence>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Rheumatologie</MeetingCorporation>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Orthop&#228;dische Rheumatologie</MeetingCorporation>
        <MeetingName>53. Kongress der Deutschen Gesellschaft f&#252;r Rheumatologie (DGRh), 39. Jahrestagung der Deutschen Gesellschaft f&#252;r Orthop&#228;dische Rheumatologie (DGORh)</MeetingName>
        <MeetingTitle>Deutscher Rheumatologiekongress 2025</MeetingTitle>
        <MeetingSession>Verschiedenes</MeetingSession>
        <MeetingCity>Wiesbaden</MeetingCity>
        <MeetingDate>
          <DateFrom>20250917</DateFrom>
          <DateTo>20250920</DateTo>
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    <ArticleNo>VS.11</ArticleNo>
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      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Background: </Mark1>Patients with rheumatic diseases are particularly limited in their manual activities <TextLink reference="1"></TextLink>. Handscupe<Superscript>&#174;</Superscript> is an ergonomic medical device fabricated to meet the needs of rheumatic patients by improving hand function and symptoms.</Pgraph><Pgraph><Mark1>Methods: </Mark1>Handscupe<Superscript>&#174;</Superscript> was given to 32 rheumatic patients (mainly presenting with rheumatoid arthritis) during a 3-week rehabilitation program. 26 Patients used handscupe<Superscript>&#174;</Superscript> 60 minutes daily. The following parameters were collected: objective measures of hand function (hand grip strength measured by vigorimeter), patient reported outcome parameters like morning stiffness, level of pain and standardized questionnaires: FFbH (Hannover functional questionnaire), RAID (Rheumatoid Arthritis Impact of Disease), WHO-5 (Well-Being index), PHQ-9 (patient health questionnaire), laboratory parameters and disease activity scores (DAS28).</Pgraph><Pgraph><Mark1>Results: </Mark1>Initial DAS28 was 2.9&#177;1.0. The majority of patients show increase in hand grip on the right hand (p &#60;0,05) and improvement of overall well-being (WHO questionnaire, p &#60;0,05). Disease activity measured by doctors and described by patients show contradicting results. Physicians see an objective improvement whereas the patients see a subjective slightly worsening of general disease activity. </Pgraph><Pgraph><Mark1>Discussion: </Mark1>The first results show a tendency for improvement in hand function and well-being.</Pgraph><Pgraph>In this small study population of 26 patients, and with probable biases due to rehabilitation measures affecting the results, we cannot make a definitive statement about the effectiveness of handscupe<Superscript>&#174;</Superscript> at this moment. The study shows a very promising trend and suggests satisfactory results in a confirmatory prospective randomized controlled clinical study of the effects of handscupe<Superscript>&#174;</Superscript> in patients with rheumatic diseases. These positive tendencies could be verified involving a larger study population and an outpatient setting.</Pgraph><Pgraph><Mark1>Disclosure statement:</Mark1> The study was funded by iMEDgine. </Pgraph><Pgraph>The authors declare that there are no conflicts of interest. </Pgraph></TextBlock>
    <References linked="yes">
      <Reference refNo="1">
        <RefAuthor>Bodur H</RefAuthor>
        <RefAuthor>Yilmaz O</RefAuthor>
        <RefAuthor>Keskin D</RefAuthor>
        <RefTitle>Hand disability and related variables in patients with rheumatoid arthritis</RefTitle>
        <RefYear>2006</RefYear>
        <RefJournal>Rheumatol Int</RefJournal>
        <RefPage>541-4</RefPage>
        <RefTotal>Bodur H, Yilmaz O, Keskin D. Hand disability and related variables in patients with rheumatoid arthritis. Rheumatol Int. 2006 Apr;26(6):541-4. DOI: 10.1007&#47;s00296-005-0023-1</RefTotal>
        <RefLink>https:&#47;&#47;doi.org&#47;10.1007&#47;s00296-005-0023-1</RefLink>
      </Reference>
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